Centre

State

District

Chief Minister

Chief Secretary

Principal Secretary, H&FW

District Magistrate

Chief Medical Officer

Medical Officers

Supervisors

Vaccinators

Minister

Secretary

Ops Group

Program Structure

Supplementary Immunization

Activities in India

Strategy and Implementation

Key Eradication Strategy

IMMUNISATION is one of the key strategies

Every year :

– Two nation-wide immunisation rounds

called National Immunisation Days are

held

– Almost every month immunisation rounds

called Sub National Immunization Days are

held in states and areas at risk of polio (UP,

Bihar and Delhi and Mumbai and their

surrounding areas)

2 drops of OPV given to children under 5 yrs

SIAs in India

• During each NID :

– 172 million children immunized

– 209 million houses visited by vaccination teams

– 2.3 million vaccinators deployed

– 155,000 supervisors deployed

Vaccine Vial Monitor (VVM) on each vial to assure quality vaccine is delivered

The square is lighter than the circle.

If the expiry date is

not passed, use the vaccine

The square is lighter than the circle.

If the expiry date is not

passed, use the vaccine

The square matches the circle.

Do not use the vaccine.

Inform your supervisor

The square is darker than the circle.

Do not use the vaccine.

Inform your supervisor

Booth Day on Day 1 (Sunday)

Strategy for NIDs

Vaccinators go house to house & look for

unimmunised children from day 2 to 6

Each team is composed of 2–3 members

• Vaccinator

• Record-keeper/guide

• Local community

Vaccination Teams H-T-H

Vaccinators need good inter personal communication skills

to enable entry into households to accurately determine the

number of < 5 year children for vaccination

After vaccinating

• Marking left little

finger with

indelible ink

marker pen

• Filling newborn

booklet &

tally sheet

• House marking

Marking Houses

P

DateAll 0-59 month children of this house

got OPV dose of this round and no

child is left or no 0-59 month child in

this house

X

DateOne or more 0-59 month child of this

house did not get OPV dose of this

round: child is absent or house is

locked or uncooperative family

House markings

21/1/13 21/1/13

X – 68P – 67

T. No. – 5 T. No. – 5

Houses marked with chalk or geru

Team No.

House No.

Date of visit

• Each Household marked

• Revisits to X houses also marked

House Marking

Programme focus :Repeated visits to

households to ensure all children get OPV

First visit by

A team

Revisit late

afternoon on

same day

(biphasic

activity)

Repeated visits

on following day

Visit by

supervisor

B team

visit

Programme focus : newborns

Vaccination teams deployed to cover children in transit – bus stands, highways, markets etc.

450 teams in running trains on major routes

Additional teams at platforms

Coverage of children in transit

5 million children in transit

immunized in UP, Bihar,

Mumbai each round

Transit Teams

Proactively seek &

immunize children

in transit

• One or two member vaccination teams on two wheelers to immunize children at brick kilns, construction sites, isolated nomadic populations, hard to reach areas like river banks, orchards etc.

• Teams visit each site twice during each round due to frequent turnover of families

Mobile teams

1. Brick Kilns

2. Construction

sites

3. Slums

4. Nomads

Programme focus : Migrant population at

Programme focus :Access compromised areas in

Bihar

Thank You